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ORIGINAL ARTICLE
Year : 2021  |  Volume : 21  |  Issue : 4  |  Page : 184-193

Nutritional-status assessment using body-composition monitor device in a cohort of end-stage renal disease on maintenance hemodialysis


1 Department of Nephrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
2 Department of Internal Medicine, Minsitry of Health, Egypt

Correspondence Address:
Dr. Rasha I. Abd Elrazek Gawish
Internal Medicine, Lecturer of Internal Medicine, Nephrology Department, Faculty of Medicine, Alexandria University, 37 Ismail Serry Street, Smouha, Alexandria, 21648
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jesnt.jesnt_18_21

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Background Uremic malnutrition is strongly associated with increased risk of death and hospitalization events in this patient population. Many studies have focused on the association between nutritional status and clinical outcome, supporting for the hypothesis that malnutrition may cause or contribute to mortality. The aim of the present work was to study the nutritional status in patients receiving sessions of maintenance hemodialysis by using the body composition monitor device. Patients and methods In total, 50 end-stage renal-disease patients on maintenance hemodialysis were enrolled in the study. Assessment of nutritional status using body composition monitor was done for all the patients included in the study. The BCM device takes three steps to display the final output parameters: overhydration, adipose-tissue mass (ATM), and lean-tissue mass (LTM). All output parameters have been validated against the gold-standard reference methods in various studies involving more than 500 patients and healthy controls. Results The studied group was divided according to subjective global assessment questionnaire score into three groups: 26 (52%) patients were well nourished, 14 (28%) patients were mildly/moderately malnourished, and 10 (20%) patients were severely malnourished. The body composition monitor showed a decrease in the parameters related to the LTM, while an increase in the parameters related to the ATM. There were statistically significant negative correlations between both parameters. Conclusion Body composition monitor is a noninvasive, bedside, easy, and convenient method of assessment of the body composition by assessing the LTM and ATM that gives a better idea regarding the nutritional status of the patients.


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